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Spontaneous Ventral Spinal Epidural Hematoma in an Infant: An Unusual Presentation
Spontaneous ventral spinal epidural hematomas are extremely rare in children and clinically recognized by the appearance of acute asymmetric focal motor and sensory involvement. In infants, the initial presenting symptoms are very non-specific and irritability is often the only initial manifestation...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Shahid Beheshti University of Medical Sciences
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3943033/ https://www.ncbi.nlm.nih.gov/pubmed/24665297 |
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author | ABBAS, Asad AFZAL, Kamran MUJEEB, Athar Abdul SHAHAB, Tabassum KHALID, Mohammad |
author_facet | ABBAS, Asad AFZAL, Kamran MUJEEB, Athar Abdul SHAHAB, Tabassum KHALID, Mohammad |
author_sort | ABBAS, Asad |
collection | PubMed |
description | Spontaneous ventral spinal epidural hematomas are extremely rare in children and clinically recognized by the appearance of acute asymmetric focal motor and sensory involvement. In infants, the initial presenting symptoms are very non-specific and irritability is often the only initial manifestation. Appearance of other neurological signs may be delayed up to hours or even days later. In the absence of significant precipitating factors such as severe trauma or previously known coagulopathies, the diagnosis is usually delayed until the full picture of severe cord compression is developed. The diagnosis is finally made by performing magnetic resonance imaging. We report a 5-month-old infant with spinal epidural hematoma who presented with symmetrical upper limb weakness and diaphragmatic involvement to highlight the importance of recognizing the atypical manifestations for early diagnosis and intervention. |
format | Online Article Text |
id | pubmed-3943033 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Shahid Beheshti University of Medical Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-39430332014-03-24 Spontaneous Ventral Spinal Epidural Hematoma in an Infant: An Unusual Presentation ABBAS, Asad AFZAL, Kamran MUJEEB, Athar Abdul SHAHAB, Tabassum KHALID, Mohammad Iran J Child Neurol Case Report Spontaneous ventral spinal epidural hematomas are extremely rare in children and clinically recognized by the appearance of acute asymmetric focal motor and sensory involvement. In infants, the initial presenting symptoms are very non-specific and irritability is often the only initial manifestation. Appearance of other neurological signs may be delayed up to hours or even days later. In the absence of significant precipitating factors such as severe trauma or previously known coagulopathies, the diagnosis is usually delayed until the full picture of severe cord compression is developed. The diagnosis is finally made by performing magnetic resonance imaging. We report a 5-month-old infant with spinal epidural hematoma who presented with symmetrical upper limb weakness and diaphragmatic involvement to highlight the importance of recognizing the atypical manifestations for early diagnosis and intervention. Shahid Beheshti University of Medical Sciences 2013 /pmc/articles/PMC3943033/ /pubmed/24665297 Text en © 2013: Iranian Journal of Child Neurology This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report ABBAS, Asad AFZAL, Kamran MUJEEB, Athar Abdul SHAHAB, Tabassum KHALID, Mohammad Spontaneous Ventral Spinal Epidural Hematoma in an Infant: An Unusual Presentation |
title | Spontaneous Ventral Spinal Epidural Hematoma in an Infant: An Unusual Presentation |
title_full | Spontaneous Ventral Spinal Epidural Hematoma in an Infant: An Unusual Presentation |
title_fullStr | Spontaneous Ventral Spinal Epidural Hematoma in an Infant: An Unusual Presentation |
title_full_unstemmed | Spontaneous Ventral Spinal Epidural Hematoma in an Infant: An Unusual Presentation |
title_short | Spontaneous Ventral Spinal Epidural Hematoma in an Infant: An Unusual Presentation |
title_sort | spontaneous ventral spinal epidural hematoma in an infant: an unusual presentation |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3943033/ https://www.ncbi.nlm.nih.gov/pubmed/24665297 |
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